Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $138.04	Professional		$79.43	$93.33	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $186.21	Professional		$120.23	$147.91	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $218.78	Facility		$114.82	$134.90	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $275.42	Professional		$85.11	$134.90	$275.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $407.38	Professional		$107.15	$107.15	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $199.53	Professional		$97.72	$117.49	$199.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $131.83	Professional		$112.20	$131.83	$131.83